Northern California PET Imaging Center (NCPIC) would like to announce Medicare’s expanded coverage guidelines adding (fluorodeoxyglucose) F-18 FDG PET/CT imaging for:
- chronic osteomyelitis and chronic hematogenous osteomyelitis of the entire skeletal system
- infection and inflammatory reaction to internal joint prosthesis (any joint prosthesis)
- unspecified fever which may be associated with inflammation and/or infection
Coverage is effective immediately for individuals enrolled in traditional Medicare and Medicare Advantage plans. Individuals enrolled in a Medicare Advantage plan will require pre-authorization. Private payer coverage will be on a case-by-case basis with prior authorization required. Attached is a requisition form for NCPIC and a listing of approved ICD-10 codes. Should you need personalized assistance with your request or authorization help, please call us at (916) 737-3211.